Flaps and Grafts in Dermatologic Surgery,
Edition 2
By Thomas E. Rohrer, MD, Jonathan L. Cook, MD and Andrew Kaufman, M.D., F.A.C.P

Publication Date: 20 Oct 2017

Achieve optimal results in reconstructive surgery involving flaps and grafts with this up-to-date reference written by leading dermatologic surgeons. Using a systematic approach, Flaps and Grafts in Dermatologic Surgery, Second Edition, by Drs. Thomas E. Rohrer, Jonathan L. Cook, and Andrew J. Kaufman, offers practical, easily accessible guidance in this challenging area, including anatomical considerations, the delicate nature of tissue movement, principles of aesthetic surgical closures, relevant tissue biomechanics, and much more. Covering everything from the basic linear and arciform closures, to the more challenging V-Y advancement flaps, and complex staged interpolation flaps, this text clearly presents not just the "how to do it" but more importantly the thought processes behind the selection and execution of each reconstructive procedure.

Key Features

  • Describes which flap or graft to choose in specific clinical situations, how to execute each repair (with a multitude of images and diagrams), and how to minimize the risks as well as manage potential complications.
  • Provides algorithms to assist with flap and graft choices, as well as hundreds of superb full-color illustrations throughout.

New Features

  • Includes an all-new chapter on Surgical Complications and Scar Revisions.
  • Includes access to high-quality videos showing exactly how the flap/graft is incised, moved, and sutured. New videos include the Rhomboid Transposition Flap for Defect on the Lower Lid, the Island Pedicle Flap with Canthal Suspension, and the Primary Lid Repair with Diagonal Tarsal Suture Sine Marginal Sutures.
  • Expert Consult™ eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, and references from the book on a variety of devices.
About the author
By Thomas E. Rohrer, MD, Associate Clinical Professor of Dermatology, Brown University School of Medicine, Providence, RI, USA; Private Practice, SkinCare Physicians, Chestnut Hill, MA, USA; Jonathan L. Cook, MD, Duke University Medical Center and Andrew Kaufman, M.D., F.A.C.P, Clinical Professor of Dermatology,, Keck School of Medicine of USC, Los Angeles, CA, Private Practice, Thousand Oaks and Santa Barbara, CA, USA
Table of Contents
Chapter 1: Anatomy

Introduction • Surface Landmarks and Surface Anatomy • The Aging Face • The Musculoaponeurotic System • Motor Nerves • Sensory Nerves of the Head and Neck • Vascular System • Special Structures: Lip, Eyelids, Nose, Ear

Chapter 2: Basic Principles in Flap Reconstruction

Basic Terminology • Flaps Defined by Blood Supply • Flap Physiology • Flap Biomechanics • Flaps Defined by Movement • Practical Points • Final Thoughts

Chapter 3: Primary Closure

Primary Closure Design and Considerations •
Modifications or Variations • Applications and Disadvantages

Chapter 4: Advancement Flaps

Flap Design and Considerations • Flap Mobilization and Key Sutures • Flap Modifications and Applications • Disadvantages

Chapter 5: Rotation flaps

Rotation Flap Design: Basic Principles • Bilateral Rotation Flaps • Special Rotation Flaps • Plane of Flap Elevation and Surgical Undermining • Conclusion

Chapter 6: Island Pedicle Flaps

Closure • Complications

Chapter 7: Transposition Flaps

Flap Design and Considerations • Rhombic Flaps • Other Transposition Flaps • Complications • Conclusion

Chapter 8: Staged Interpolation Flaps

Paramedian Forehead Flap (PFF), Stage I • Paramedian Forehead Flap, Stage II • Cheek-to-Nose Interpolation Flap (CNIF) • Cheek-to-Nose Interpolation Flap, Stage II • Abbé (Lip-Switch) Flap • Abbé Flap, Stage II • Conclusion

Chapter 9: Skin Grafts

Full-Thickness Skin Grafts • Split-Thickness Skin Grafts • Conclusion • Graft Complication

Chapter 10: Scalp Reconstruction

Scalp Surgical Anatomy • Evaluation of the Scalp Defect • Basic Reconstruction Concepts • Second Intention Healing • Primary Closure • Split-Thickness Skin Grafts • Full-Thickness Skin Grafts • Random Pattern Cutaneous Flaps • Conclusion

Chapter 11: Forehead and Temple

Reconstructive Principles • Complications • Conclusions

Chapter 12: Periocular Reconstruction

Introduction • Periocular Anatomy • Preparation • Complications • General Principles of Periocular Reconstruction • Methods of Closure • Algorithmic Approach to Reconstruction by Periocular

Chapter 13: Cheek Reconstruction

Maximum Skin Tension Lines • Surface Anatomy • Skin Texture • Subcutaneous Anatomy • Which Reconstructive Procedure • Flaps by Cheek Region • Complications • Conclusion

Chapter 14: Ear Reconstruction

Introduction • Ear Aesthetics • Embryology • Topography • General Principles • Skin Grafts • Adjacent Tissue Transfer • Cartilage • Regional Reconstruction • Prosthetics and When to Refer

Chapter 15: Reconstruction of the Nose

Introduction • Reconstructive Options • Complications • Conclusion

Chapter 16: Perioral Reconstruction

Introduction • General Principals of Lip Reconstruction • Reconstruction

Chapter 17: The Neck

Preoperative Considerations • Relevant Anatomy • Reconstructive Options • Regional Pearls • Summary
Book Reviews
"What makes the editors' approach so very unique is the inclusion of extensive high resolution narrated video to illustrate in detail the techniques described in the body of the text. This is a three-dimensional process, nearly duplicating the experience of standing shoulder to shoulder with a personal master instructor. The student is able to read the principles and applications and then see in real time the execution of the techniques. There is no better way to learn." --Leonard M Dzubow MD excerpt from foreword
Book details
ISBN: 9780323476621
Page Count: 328
Illustrations : 100 illustrations (100 in full color)
Retail Price : £163.99
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Dermatologists, Otolaryngologists, Facial Plastic Surgeons, Plastic Surgeons